MAISON OPTIQUE OPTOMETRIC CENTER
NPI: 1528144011
· TORRANCE, CA 90505
· Optometrist
· NPI assigned 10/27/2006
$107K
Total Medicaid Paid
Provider Details
| Authorized Official | TAMAYO, ROBERT (PARTNERSHIP/OPTOMETRIST) |
| NPI Enumeration Date | 10/27/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
614 |
$5K |
| 2019 |
755 |
$7K |
| 2020 |
1,116 |
$20K |
| 2021 |
955 |
$16K |
| 2022 |
1,179 |
$20K |
| 2023 |
1,533 |
$21K |
| 2024 |
1,864 |
$18K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
880 |
879 |
$24K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
955 |
955 |
$22K |
| V2020 |
Frames, purchases |
1,505 |
1,504 |
$22K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,466 |
1,461 |
$22K |
| 92015 |
Determination of refractive state |
3,210 |
3,209 |
$16K |